{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" R  DIVADRS SENAE","gend":0,"add":"U S 053892 YWH S","city":"BLAIRS","state":"VA","zip":24527,"dob":"1947-03-19","age":"","mstatus":"","insh":"24700210*28","cliId":"","pno":"02\/4341854-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/258-4050","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24527,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S80.01XA","M79.661","R22.41","W19.XXXA","I69.30","Q07.00","Z95.5","I63.9","S00.03XA","I69.90","F32.9","R26.81","M62.81","E11.9","G47.00","F41.9","I10.","K21.9","Z91.81","M19.90","G47.33","E78.5","R00.0","Z71.89","E03.9","E53.8","E55.9","L60.0","L60.2","B35.1","M79.674","M79.675","R03.1","R07.82","R22.43","G62.9","R26.9","S20.229A"],"date":["2022-05-05","2022-05-05","2022-05-05","2022-05-12","2022-06-07","2022-06-07","2022-06-07","2022-06-07","2022-02-24","2021-10-14","2021-07-05","2021-07-05","2021-07-05","2021-07-05","2021-07-05","2021-07-05","2022-03-17","2021-07-05","2021-07-05","2021-07-05","2021-07-05","2022-03-03","2021-07-05","2021-07-05","2022-03-03","2022-03-03","2022-03-03","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-06-02","2022-06-02","2022-06-02","2022-06-02","2022-05-12","2022-04-21"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}